Table 2, Classification of calcium antagonists (adapted from Ref [3])

 

 

 

 

 

Group

 

 

 

First

 

Second generation

 

Third

 

(tissue selectivity)

 

 

generation

 

IIa

 

IIb

 

generation

 

 

 

 

 

 

 

 

 

 

 

 

 

Dihydropyridine(artery>cardiac)

 

Nifedipine (L)

 

Nifedipine SR/GITS

Bernidipine (L)

Amlodipine (L/N)

 

 

 

 

Nicardipine (L)

Nicardipine SR

Elgodipine (L)

Barnidipine (L)

 

 

 

 

 

 

 

 

Felodipine ER (L)

Cilnidipine (L/N)

 

 

 

 

 

 

 

 

Fendilline (L)

 

Efonidipine (L/T)

 

 

 

 

 

 

 

 

 

Isradipine (L)

 

Lacidipine (L)

 

 

 

 

 

 

 

 

 

Manidipine (L)

Lercanidipine

 

 

 

 

 

 

 

 

 

Nilvadipine (L)

Vatanidipine (L/N)

 

 

 

 

 

 

 

 

Nimodipine (L)

 

 

 

 

 

 

 

 

 

 

Nisoldipine (L)

 

 

 

 

 

 

 

 

 

 

Nitradipine (L)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Benzothiazepine(artery=cardiac)

 

Diltiazem (L)

 

Diltiazem SR

 

 

 

 

 

Phenylalkylamine(artery=<cardiac)

 

Verapamil (L)

 

Verapamil SR

Gallopamil (L)

 

 

Tetraols(Benzilimidazolyl)(artery>cardiac)

 

 

 

 

 

 

 

Mibefradil (L/T++)

Bepridil (L/Na+)

 

 

 

 

 

 

 

 

 

 

Monatepil (L/a1-blocker)

 

 

 

 

 

 

 

 

 

 

SR=Sustained Release, ER=Extended release, GITS=GastroIntestinal Therapeutic System

 

 

 

In parentheses the target subtype Ca channel for each drug (see also Tab. 1)

 

 

 

 

-Bepridil also blocks sodium(Na+) channels (It is a 3d gen. agent)

 

 

 

 

 

-Monatepil also has a1-adrenoreceptor blocking activity (3d gen.agent)